RT Book, Section
A1 Reichman, Eric F.
A2 Reichman, Eric F.
SR Print(0)
ID 1159797458
T1 Open Cardiac Massage
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159797458
RD 2023/12/04
AB The  purpose  of  cardiopulmonary  resuscitation  (CPR)  during  cardiac  arrest  or  hypovolemic  shock  is  to  provide  adequate  cardiac  output.  This  can  be  done  using  either  closed  or  open  chest  cardiac  massage.  Open  cardiac  massage  may,  on  rare  occasions,  be  performed  in  the  Emergency  Department.  It  is  performed  on  patients  who  have  had  an  emergent  thoracotomy  after  penetrating  chest  trauma  and  have  inadequate  cardiac  activity.  It  may  also  be  performed,  in  rare  instances,  after  a  thoracotomy  to  decompress  a  pericardial  tamponade  in  a  medical  patient.  Open  cardiac  massage  is  considered  a  heroic  procedure  in  the  Emergency  Department  that  can  be  lifesaving  if  performed  on  the  appropriate  patient.1-12